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MS Ambassador Interest Form

 

MS Ambassador Interest Form

  MS Ambassadors are a group of dedicated volunteers that spread the word about MS and the programs and services offered by the Society. These volunteers educate, engage and encourage others to join the movement to create a world free of MS. Please provide the requested contact information below if you are interested in volunteering for this important role.

If you have previously registered, please login here to prepopulate your information.

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Name:

 

 

   

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City/State/ZIP:

 

    

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What's this?

Please enter a username and password that you can use when you return. You can use this password to update your information or receive personalized content.

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5 to 60 characters

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5 to 20 characters

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Question - Not Required - If you answered yes to the question above, please tell us in what capacity have you served as a volunteer:
Please make between 1 and 7 selections from the choices below.

 

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* What is your preferred form of communication?
(Select one of the available choices or enter a different value.)



* Are you comfortable making presentations and speaking to large groups?
(Select one of the available choices or enter a different value.)



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(Maximum response 255 chars, approx. 5 rows of text)

   Please leave this field empty